Teaching and learning in nursing, Journal Year: 2024, Volume and Issue: 19(2), P. e388 - e394
Published: Jan. 17, 2024
Language: Английский
JAMA Network Open, Journal Year: 2023, Volume and Issue: 6(9), P. e2333838 - e2333838
Published: Sept. 19, 2023
Importance Current rehabilitation guidelines for patients with post–COVID-19 condition (PCC) are primarily based on expert opinions and observational data, there is an urgent need evidence-based interventions to support PCC. Objective To synthesize the findings of existing studies that report physical capacity (including functional exercise capacity, muscle function, dyspnea, respiratory function) quality life outcomes following in Data Sources A systematic electronic search was performed from January 2020 until February 2023, MEDLINE, Scopus, CINAHL, Clinical Trials Registry. Key terms were used identify potentially relevant included long-covid , post-covid sequelae therapy activity randomized controlled trial . Study Selection This study clinical trials compared training exercise-based either placebo, usual care, waiting list, or control Extraction Synthesis followed Preferred Reporting Items Systematic Reviews Meta-Analyses. pairwise bayesian random-effects meta-analysis using vague prior distributions. Risk bias assessed Cochrane risk tool version 2, certainty evidence evaluated GRADE system by 2 independent researchers. Main Outcomes Measures The primary outcome measured at closest postintervention time point 6-minute walking test. Secondary fatigue, lower limb life. All defined a priori. Continuous reported as standardized mean differences (SMDs) 95% credible intervals (CrIs) binary summarized odds ratios CrIs. between-trial heterogeneity quantified between-study variance, τ Results Of 1834 identified records, 1193 screened, 14 (1244 patients; 45% female participants; median [IQR] age, 50 [47 56] years) analyses. Rehabilitation associated improvements (SMD, −0.56; CrI, −0.87 −0.22) moderate 7 (389 participants). These had 99% posterior probability superiority when current standard care. value (0.04; 0.00 0.60) indicated low statistical heterogeneity. However, significant uncertainty imprecision regarding experiencing exercise-induced adverse events (odds ratio, 1.68; 0.32 9.94). Conclusions Relevance this review suggest life, high improvement care; other outcomes. Given surrounding safety outcomes, additional enhanced monitoring necessary.
Language: Английский
Citations
77
BMC Sports Science Medicine and Rehabilitation, Journal Year: 2024, Volume and Issue: 16(1)
Published: Feb. 2, 2024
Abstract Background The Post-COVID-19 syndrome (PCS), which can occur after acute respiratory coronavirus 2 infection, leads to restrictions in everyday activity. Our study assessed the impact of an online-guided intervention intended facilitate physical activity on mental and capability PCS patients. Methods We randomized 62 patients with (20 male/ 42 female; age: 46 ± 12 years; body mass index: 28.7 6.7 kg/m ) a score ≥ 22 fatigue assessment scale (FAS) 3-month exercise-focused (IG n = 30) or control period (CG 32). changes exercise capacity (bicycle test measurements gas exchange), fatigue, markers health-related quality life (HrQoL) health. Results FAS decreased significantly both groups (IG: 35.1 7.4 31.8 8.5 points; CG: 35.6 32.6 7.5 points, p < 0.01). Exercise did not increase CG IG (within-group for IG: peak oxygen uptake: 0.9 2.6 ml/min/kg, 0.098; power output: 6.1 17.8 W, 0.076) no significant HrQoL work ability. Patients at baseline 35 (severe fatigue) showed change whereas sub-group points (moderate improvements, independent group. Conclusions seems appropriate moderate those more severe appear be too restricted respect their health status perform level is sufficient improve performance. Trial registration German Clinical Trials Register (registration trial number: DRKS00026245) September 2021.
Language: Английский
Citations
11
European Journal of Physical and Rehabilitation Medicine, Journal Year: 2024, Volume and Issue: 60(2)
Published: March 13, 2024
iNtroductioN: the evidence on utility and effectiveness of rehabilitation interventions delivered via telerehabilitation is growing rapidly.telerehabilitation expected to have a key role in future.aiM: aim this evidence-based position paper (Ebpp) improve prM physicians' professional practice be functioning reduce activity limitations and/or participation restrictions individuals with variety disabling health conditions.MEthods: produce recommendations for physicians telerehabilitation, systematic review literature consensus procedure by means delphi process been performed involving delegates all European countries represented uEMs section.rEsults: reported together 32 resulting from procedure.coNclusioNs: it recommended that deliver services remotely, digital or using communication technologies eligible individuals, whenever required feasible conditions favor patient his/her family, based compliance relevant regulations.This EBPP represents official Union through section designates telerehabilitation.
Language: Английский
Citations
7
Annals of Physical and Rehabilitation Medicine, Journal Year: 2024, Volume and Issue: 67(5), P. 101853 - 101853
Published: June 1, 2024
Language: Английский
Citations
4
Journal of Integrative Medicine, Journal Year: 2025, Volume and Issue: unknown
Published: Jan. 1, 2025
Language: Английский
Citations
0
BMC Complementary Medicine and Therapies, Journal Year: 2025, Volume and Issue: 25(1)
Published: Jan. 8, 2025
Evidence about rehabilitation of post COVID-19 condition is scarce. Yoga has been found beneficial in other chronic conditions and can be delivered a digital format at home. The aim the study was to explore feasibility teleyoga persons with by assessing adherence, safety, limited efficacy experiences. Pre-post mixed-method design. Participants were recruited from clinic. intervention included standardised live-streamed sessions twice/week for 7 weeks individual yoga using application during 12 weeks. Adherence measured registration participation analysing log application. Safety serious adverse events. Limited examined trends predicted direction better outcome patients post-COVID 6-minute walk test, gait speed, cognition, health-related quality-of-life, mental distress, sleep exercise motivation. We also assessed patients' experiences after intervention. Nine women 2 men enrolled, aged between 27 61 years, duration 3–12 months. Adherence: Half participants participated more than 50% online sessions. They enjoyed social aspect Some experienced that 60 min too long. People felt motivated participate, however they conflicted when commitments took time away yoga. varied, 6 used it less recommended time. Safety: Persons symptoms due their disease, which could increase made harder participate. There no reported efficacy: expressed breathed consciously relaxation reduction stress anxiety. After there significant improvement cognitive function (p-value = 0.048). No differences physical tests, anxiety depression, or quite low might improved shorter Online safe, but some an symptoms. Teleyoga associated breathing relaxation. results show feasible people COVID-19, adaptation yoga-program may required, especially as many experience Furthermore, should flexible regards number As few adherent application, relevance usefulness this needs further explored.
Language: Английский
Citations
0
Reports — Medical Cases Images and Videos, Journal Year: 2025, Volume and Issue: 8(1), P. 35 - 35
Published: March 20, 2025
Background: Post COVID-19 Condition is a recently recognized syndrome characterized by the persistence of various symptoms, including dyspnea, physical and mental fatigue, post-exertional malaise. Currently, there no established treatment or clear consensus on effectiveness rehabilitation, given that patients could benefit from home-based telerehabilitation, defined as remote rehabilitation using telematic systems, may be an option to reach more population with persistent symptoms. Therefore, it necessary show efficacy this approach benefits multimodal strategy in these patients. Methods: Patients underwent home 12-week synchronous telerehabilitation system. The intervention included therapeutic education respiratory rehabilitation. following variables were analyzed: Fatigue, quality life, strength, aerobic capacity, upper lower limb strength. Conclusions: After 12 weeks, significant improvements found However, improvement was dyspnea scores, which did not correlate Interestingly, post-intervention correlation emerged between distance covered capacity perceived suggesting asynchronous viable for
Language: Английский
Citations
0
Digital Health, Journal Year: 2025, Volume and Issue: 11
Published: March 1, 2025
This study aimed to synthesize and analyze the evidence on effectiveness of telerehabilitation categorized according International Classification Functioning, Disability, Health (ICF) outcomes for physical therapy (PT) during coronavirus disease 2019 (COVID-19) pandemic. Studies were identified using Physiotherapy Evidence Database (PEDro), Scopus, PubMed, EMBASE, other sources data. Randomized controlled trials comparing with control group (i.e., no treatment/usual care) included. Standard meta-analysis techniques applied assess telerehabilitation. Outcome measures domains ICF. Among 134 studies that met eligibility criteria, majority findings demonstrated significant improvements across all ICF following as compared group, regardless participant groups. Only 9 included in meta-analysis. Six enrolled individuals COVID-19 remaining three knee osteoarthritis (OA) who unable access services at clinic. Compared Borg-Rating-of-Perceived-Exertion scale, reflected an impairment domain, was significantly lower received (3 studies, n = 135; standardized mean difference (SMD) -1.82, 95% CI -2.77 -0.86). 30-second sit-to-stand test 122; SMD 0.88, 0.52-1.25) 6-minute-walking (4 221; 0.83, 0.42-1.24), activity showed improvement group. Conversely, there domain measured by timed up go people OA 111; -0.45, -1.19 0.30). provides supporting ICF, observed COVID-19. These are particularly evident such perceived exertion, leg strength, functional capacity.
Language: Английский
Citations
0
International Journal of Clinical Practice, Journal Year: 2025, Volume and Issue: 2025(1)
Published: Jan. 1, 2025
Purpose: This study aims to analyze the medium‐term effectiveness of telerehabilitation in enhancing quality life for patients with Long COVID, using a mobile application (APP) called ReCOVery APP. The secondary purpose is identify significant factors associated an improvement and other outcomes this population. Methods: A randomized clinical trial was carried out two parallel groups involving total 100 COVID. first one (control group, n = 48) continued their usual treatment (TAU), established by primary care doctor. second (intervention 52), addition continuing TAU, attended three sessions based on motivational methodology used APP 6 months. outcome life. Results: After months, did not significantly improve among COVID patients. Poor adherence observed participants who tried it. Linear regression analyses revealed relationship between decrease number symptoms mental health–related quality. Conclusions: While research contributes valuable insights into potential patients, lack underscores need future large‐scale studies. Such should focus identifying effective strategies enhance digital interventions, such as increased professional support personalized approaches. Additionally, exploring long‐term effects could provide more comprehensive understanding its role managing Trial Registration: ISRCTN Registry identifier: ISRCTN91104012
Language: Английский
Citations
0
BMC Nursing, Journal Year: 2025, Volume and Issue: 24(1)
Published: May 26, 2025
Language: Английский
Citations
0